Hereditary hemorrhagic telangiectasia with oral manifestations

Austin, G; Quart, Arthur M.; Novak, Bernard

doi:10.1016/0030-4220(81)90053-0

Cited by 15 publications

(5 citation statements)

References 16 publications

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“…Likewise, a low incidence of gingival bleeding in patients with HIV was reported in a cross‐sectional study where different periodontal procedures were carried out 35 . When other inherited bleeding conditions such as plasminogen activator deficiency or hereditary hemorrhagic telangiectasia were evaluated, the risk of bleeding was minimal, 30 if any at all 44 …”

Section: Complications After Periodontal Therapy In Patients With Com...mentioning

confidence: 96%

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Complications and treatment errors in periodontal therapy in medically compromised patients

Leira

Marletta

Orlandi

et al. 2022

Periodontology 2000

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In 2019, worldwide life expectancy was estimated at approximately 72 years of age. This has improved dramatically over decades, and is mirrored in childhood survival rates. 1 As a consequence, the number of people presenting with long-term conditions is increasing rapidly, as it is closely related to aging. 2 Multimorbidity in this aging population is common and it has been rising in prevalence over recent years, with one in three adults living with more than one chronic disease. 3,4 Evidence on the prevalence of systemic diseases in patients presenting for periodontal care suggests that between 40% and 52% of patients have more than one systemic condition, and these estimates increase with age. [5][6][7] In addition, the type of medical problems patients present with can differ significantly depending upon the facility where periodontal care is provided. 8 Findings from a retrospective analysis demonstrated a lower prevalence of medically compromised patients with periodontitis who attended a private dental practice (28%) compared with those attending a dental school or hospital clinic (46% and 74%, respectively). 8 Differences between participants in terms of age, socioeconomic status, or health awareness could explain these findings. 8 The most frequently reported medical problems in the dental office are allergies to medications followed by cardiovascular diseases (including hypertension) and endocrine disorders (including diabetes mellitus). [5][6][7][8][9][10] As a direct consequence of medical comorbidities, a substantial number of patients will be taking multiple medications, which may also have an impact on their periodontal management.Radfar and Suresh 11 observed that of 1041 patients treated in their dental school, 360 (35%) were taking antihypertensives, 202 (19%) painkillers, 181 (17%) antidepressants, 107 (10%) antidyslipidemic agents, and 95 (9%) antiplatelet drugs. This highlights an additional consideration in terms of the potential pharmacologic interactions with anesthetics or other medications that we might need to prescribe for these patients after certain periodontal procedures.In addition to the systemic pathology inherent to age and polypharmacy, the increased survival of patients with certain congenital diseases with periodontal manifestations has created a growing demand for periodontal treatment. These congenital disorders includeThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Complications After Periodontal Therapy In Patients With Com...mentioning

confidence: 96%

“…35 When other inherited bleeding conditions such as plasminogen activator deficiency or hereditary hemorrhagic telangiectasia were evaluated, the risk of bleeding was minimal, 30 if any at all. 44…”

Section: Complication Ratementioning

confidence: 99%

Complications and treatment errors in periodontal therapy in medically compromised patients

Leira

Marletta

Orlandi

et al. 2022

Periodontology 2000

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“…Пародонтологи. Профилактика поражения пародонта включает в себя инструкции по гигиене полости рта, правила и положения, борьбу с зубным налетом и масштабирование [21,22,23,24,25].…”

Section: материалы и методыunclassified

Oral manifestations and dental considerations of hereditary haemorrhagic telangiectasia in paediatric population — a systematic review

Vanmathi,

Shunmugavelu,

Shanmugam

et al. 2024

jour

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“…After epistaxis, oral bleeding is the second most frequent and annoying complaint of ORWS/HHT patients. Though relatively uncommon, oral bleeding may be the result of traumatic tooth brushing or after an inadvertent bite of the oral soft tissues or following an oral surgical procedure [37][38][39][40][41]. In everyday general dental practice, gingival bleeding upon oral debridement (scaling/root planning) and post-extraction hemorrhage are a prime concern for dentists.…”

Section: Dental Aspects and Implications Of Hhtmentioning

confidence: 99%

“…Herein, drugs, such as aspirin and nonsteroidal anti-inflammatory drugs (diclofenac, ibuprofen, naproxen, etc … ) should be strictly avoided due to the elevated risk of bleeding [15]. In very rare cases, a fatal hemorrhage can happen after a dental or oral surgical procedure [37][38][39][40][41][42][43][44]. Regarding the need for antibiotic prophylaxis before routine dental and oral surgeries (implant placement, surgical extractions, biopsies, cysts, and tumors excision among others,) there is no consensus yet, and to the best of our knowledge and expertise, some patients with OWRS/HHT can develop brain and pulmonary abscesses following teeth extractions in the absence of antibiotic prophylaxis [42][43][44][45].…”

Section: Dental Aspects and Implications Of Hhtmentioning

confidence: 99%

Hereditary Hemorrhagic Telangiectasia (HHT)/Osler-Weber-Rendu Syndrome: A Review on Contemporary Knowledge, its Accompanying Clinical Manifestations, Diagnostics, and Oro-Dental Management Plan

S. Haidar

2024

Innovation in Osteogenesis Research [Working Title]

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HHT/OWRS is a very rare, hereditary, genetic autosomal-dominant disorder characterized by local angiodysplasias on skin and mucosae, even more rarely reported in the oral and dental health-related literature. It affects blood vessel formation throughout the body and is often accompanied with recurrent and severe episodes of epistaxis and telangiectasia on the skin and mucous membranes, including oral mucosae; and henceforth, perhaps the first sign of OWRS/HHT that can be initially diagnosed is by us, dentists/odontologists, oral and cranio-maxillo-facial surgeons, and specialized oral, dental, head, face and neck health care providers. Such symptoms may be associated with an IgA deficiency and, rarely, with von Willebrand disease. Thus, we are in an optimal position to detect the OWRS/HHT symptoms early, even if symptoms of other conditions may or do mimic OWRS/HHT oral lesions. Herein, this chapter re-visits and reviews, for the interested clinician, surgeon, scientist, researcher, and Innovation in Osteogenesis Research reader, the current knowledge on a very rare yet complex disease. Hence, the aim herein is for it to serve as a reminder as well as a contemporary clinical and surgical guide aiding in detecting, diagnosing, understanding, and efficaciously managing (including Health Care Information Management) patients suffering from OWRS or HHT.

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Hereditary hemorrhagic telangiectasia with oral manifestations

Cited by 15 publications

References 16 publications

Complications and treatment errors in periodontal therapy in medically compromised patients

Complications and treatment errors in periodontal therapy in medically compromised patients

Oral manifestations and dental considerations of hereditary haemorrhagic telangiectasia in paediatric population — a systematic review

Hereditary Hemorrhagic Telangiectasia (HHT)/Osler-Weber-Rendu Syndrome: A Review on Contemporary Knowledge, its Accompanying Clinical Manifestations, Diagnostics, and Oro-Dental Management Plan

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